<p> IAAPT Fall 2012 Meeting Pre-registration</p><p>Mail, fax or email the following information to:</p><p>Eric T. Olson Iowa Lakes Community College 300 S. 18th Street, Estherville, IA 51334 Fax: 712-362-8363 | email: [email protected] </p><p>Dues – IAAPT dues are $7.00 payable at registration at the meeting site on Nov. 3. Send no money now.</p><p>Name ______</p><p>Institution ______</p><p>Address ______Your email______</p><p>Are you requesting time for a presentation? ______(Please complete next page.) Call for Presentations for Fall 2012 Meeting (October 12 deadline)</p><p>Presentations of interest to Iowa AAPT members are welcome. If you are requesting a presentation slot, please complete this part of the form and include it with your pre- registration. Please respond no later than Friday, Oct. 12.</p><p>Presentations can be in a variety of formats, please select one:</p><p>Time requested: ___ 10 minute rapid presentation</p><p>___ 15 minute presentation</p><p>___ 30 minute presentation </p><p>Title of presentation: </p><p>Presenter(s):</p><p>Abstract:</p>